Pengaruh Therapeutic Exercise Walking terhadap Sirkulasi Darah Perifer pada Pasien Diabetes Melitus Tipe 2 di Kelurahan Gebang Kecamatan Patrang Kabupaten Jember. (The Effect of Therapeutic Exercise Walking on Pheripheral Blood Circulation in Patients wit

Abstract

Pathological change experienced by patients with type 2 diabetes mellitus is impaired peripheral
blood circulation, especially in the lower limbs and feet. Peripheral blood circulation can be examined
by measuring Ankle Brachial Index (ABI). Therapeutic exercise walking is one of physical activities
which can improve blood circulation. This research goal was to analyze the effect of therapeutic
exercise walking on peripheral blood circulation in patients with type 2 diabetes mellitus. The
research design was randomized control group pretest-posttest design. The sample size was 15
respondents as control group and 15 respondents as treatment group. Data was analyzed by using
dependent t-test and independent t-test with significant level of 0.05. This result showed a significant
increase of ABI after therapeutic exercise walking in the treatment group (p= 0.001). However there
was a significant decrease of ABI between pretest and posttest in control group (p=0.010).
Independent t-test indicated a significant difference of ABI between treatment group and control
group (p=0.000). So, it can be concluded that there is an influence of therapeutic exercise walking on
the peripheral blood circulation in patients with type 2 diabetes mellitus. Nurses should apply
therapeutic exercise walking to improve peripheral blood circulation in patients with type 2 diabetes
mellitus.
Keywords: type 2 diabetes mellitus, therapeutic exercise walking, ankle brachial index